Proteins Flashcards
Body Composition
Protein ~20% (17%)
Water 65%
Fat 10%
Minerals 4%
Carbohydrates 1%
Protein Chemical Structure
• Proteins are organic compounds that contain Carbon, Hydrogen, Oxygen and Nitrogen.
• The presence of Nitrogen distinguishes proteins from fats and carbohydrates.
Amino Acid Components
• Amino acids are the basic building blocks of proteins. Each amino acid contains:
- An amino group NH 2
- A carboxylic acid group COOH
- A unique side group ( R group ) which differentiates amino
• There are approximately 1000 amino acids in nature.
Non- Essential AA’s
Alanine
Aspartic acid
Glutamic acid
Serine
Asparagine
Essential AA’s
Phenylalanine
Valine
Threonine
Tryptophan
Isoleucine
Methionine
Histidine
Leucine
Lysine
Essential AA’s Pneumonic
PVT TIM HiLL
Conditionally Essential AA’s
Arginine
Cysteine
Glutamine
Glycine
Proline
Tyrosine
Glutamine
• Glutamine is the most abundant amino acid in the body, containing 60% of the total pool of free amino acids.
• It is the preferred fuel for rapidly dividing cells such as enterocytes (gut support), lymphocytes and macrophages (immunity)
• The body’s glutamine synthesis becomes unable to meet higher requirements during acute stress , and hence it is considered conditionally essential . Stress states include injury (for wound healing) and infections (for supporting the immune response).
• It behaves as a buffer, receiving excess ammonia (i.e. nitrogen), before releasing it when needed to form other amino acids (e.g. arginine) and nucleic acids.
Glutamine and the Intestinal Barrier
• Glutamine is the primary amino acid source for intestinal cells and helps to regulate tight junction integrity and enterocyte proliferation. Depletion results in decreased expression of tight junction proteins and increased intestinal permeability.
• Increased intestinal permeability causes include coeliac disease, IBD, candidiasis,
alcohol, SIBO, food allergies / intolerances, chronic stress , nutrient deficiencies (e.g. glutamine, zinc), NSAIDs , chemotherapy .
• Intestinal permeability leads to the leakage of LPS into the blood, which can lead to various chronic diseases, e.g. autoimmunity.
Support for Leaky Gut
• Glutamine supplementation (10g per day)
• Glutamine rich foods e.g. cabbage juice (1L fresh juice taken over the day for 10 days), spirulina, asparagus, broccoli, cod, salmon.
• N-acetyl glucosamine (support mucosal integrity) in shellfish.
• Quercetin (apples, red onion, tomatoes, red peppers)
• Zinc (for rapid cell division and tight junction support)
• Antioxidants (e.g. vitamin C, E and beta carotene).
• Herbs: Turmeric, Marshmallow, Slippery Elm, Goldenseal, Myrrh.
• Bone broth (rich in collagen, glucosamine, chondroitin, glycine).
Glutamine Functions
Immunity
Hypoglycaemia
Muscle Recovery
Neurotransmitter
Glutamine: Supplementation Drug Interactions
Anti-seizure medications e.g. phenobarbital, phenytoin, carbamazepine, primidone and valproic acid.
Glutamine: Supplementation Toxicity
No adverse effects reported during short-term dosing up to 50-60g/day.
Glutamine: Supplementation Caution
Cancer cells can use glutamine to fuel their growth and metabolism so use alternative gut repair remedies in cancer care. Avoid in cases of epilepsy. Also caution in liver or kidney disease.
Cysteine
• Cysteine is a conditionally essential amino acid formed from methionine and serine in the liver (B6, B9 and B12 are needed).
• Direct food sources (most sulphur in food is in the form of protein bound cysteine): legumes, sunflower seeds, eggs, chicken
• It is a component of glutathione and is needed in the formation of Co-enzyme A and taurine
• It is the rate limiting amino acid for glutathione synthesis, so is very important for detoxification and antioxidant support.
• Cysteine is the source of sulphate (-SO 4 ), used in the phase II liver detoxification pathway sulfation (used for many drugs, steroid hormones etc.) increasing water solubility for their excretion.
N- Acetyl Cysteine Functions
Liver Detoxificationn/ Antioxidant
Reproductive Health
Respiratory Health
Insulin Resistance
N-Acetyl Cysteine: Other applications
In emergency medicine, NAC is used as an antidote for paracetamol toxicity resulting from an overdose (as paracetamol is detoxified using the glutathione pathway) protecting the liver from damage.
N-Acetyl Cysteine: Drug Interactions
Nitro glycerine (can cause hypotension and headaches).
Caution also with insulin use.
Methionine
Methionine is a sulphur containing essential amino acid.
Methionine: Food Sources
High in animal foods Beef, eggs, chicken etc. Brazil nuts, sunflower seeds, beans, whole grains (e.g. quinoa).
Methionine: Functions
Methionine is a major methyl donor in the body (for methylation reactions such as the homocysteine cycle, and in phase 2 liver detoxification). Raised homocysteine damages the vascular endothelium and increases the risk of atherosclerosis and miscarriage.
- Use B6, folate and B12 to support methylation, whilst restricting dietary methionine (animal sources) to lower homocysteine.
Methionine: Caution
Excess methionine also increases acidity in the body.
Carnitine
• Carnitine is an amino acid derivative that can be obtained from the diet or synthesised in the body from methionine and lysine. This production requires iron, vitamin C, B3, B6.
• Deficiency of carnitine (rare) results primarily from errors of metabolism, and not from insufficient dietary intake, as the body is usually able to synthesise adequate quantities
• Mutations of the ‘SLC22A5’ gene can make it a conditionally essential amino acid.
• Direct food sources: nuts, seeds, avocado, asparagus, spinach, red meats, dairy.
• Carnitine acts as a peripheral thyroid hormone antagonist, so it can be used therapeutically in cases of hyperthyroidism.
Carnitine: Functions
Assists ATP synthesis from fatty acids
Carnitine Supplementation: Drug Interaction
Supplementing carnitine alongside anticoagulants (e.g. warfarin) increases the blood thinning effects.
Thyroid hormones due to carnitine’s effects as a peripheral thyroid hormone antagonist, and thus high dose carnitine is contraindicated with hypothyroidism.
Carnitine Supplementation: Caution
L-carnitine use has been associated with nausea, vomiting, abdominal cramps, heartburn, gastritis, diarrhoea, body odour and seizures, but only at high doses . One of its metabolites
can cause the urine, breath and sweat to have a fishy odour.